Petty Cash Log

Company Letterhead

{{company_name}}

{{company_address}}

Phone: {{phone}}

Email: {{email}}

Website: {{website}}

Petty Cash Log

Period: From {{start_date}} to {{end_date}}

Custodian: {{custodian_name}}

Opening Balance

Date: {{opening_balance_date}}

Amount: {{opening_balance_amount}}

Cash Inflows (Reimbursements/Top-ups)

Records of any cash added back into the petty cash fund.

| Date | Source/Description | Amount (ZAR) | Authorized By |

|-------------|---------------------------------|--------------|---------------|

| {{date_in1}}| {{description_in1}} | {{amount_in1}}| {{authorized_by_in1}}|

| {{date_in2}}| {{description_in2}} | {{amount_in2}}| {{authorized_by_in2}}|

| {{date_in3}}| {{description_in3}} | {{amount_in3}}| {{authorized_by_in3}}|

Cash Outflows (Expenses)

Records of all expenditures made from the petty cash fund.

| Date | Description of Expense | Vendor | Receipt No. | Amount (ZAR) | Authorized By |

|-------------|---------------------------------|-------------------|---------------|--------------|---------------|

| {{date_out1}}| {{description_out1}} | {{vendor_out1}} | {{receipt_no_out1}}| {{amount_out1}}| {{authorized_by_out1}}|

| {{date_out2}}| {{description_out2}} | {{vendor_out2}} | {{receipt_no_out2}}| {{amount_out2}}| {{authorized_by_out2}}|

| {{date_out3}}| {{description_out3}} | {{vendor_out3}} | {{receipt_no_out3}}| {{amount_out3}}| {{authorized_by_out3}}|

Summary

Total Cash Inflows: {{total_inflows_amount}}

Total Cash Outflows: {{total_outflows_amount}}

Current Balance: {{current_balance_amount}}

Physical Cash Count: {{physical_cash_count}}

Discrepancy (if any)

Amount: {{discrepancy_amount}}

Reason for Discrepancy: {{discrepancy_reason}}

Reconciliation

I, {{custodian_name}}, confirm that the above entries are accurate and reflect all petty cash transactions for the stated period.

Prepared By: {{preparer_name}}

Checked By: {{checker_name}}

Approval

Approved By: {{approver_name}}

Title: {{approver_title}}

Signature Block

_____________________________

{{custodian_name}}

Petty Cash Custodian

Date: {{custodian_signature_date}}

_____________________________

{{approver_name}}

Approving Manager

Date: {{approver_signature_date}}